| Marsha Kelly Oxamendi, LCSW | |
|
555 N Byron Butler Pkwy, Perry, FL 32347-2315 | |
| (850) 329-5776 | |
| (888) 974-6195 |
| Full Name | Marsha Kelly Oxamendi |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 37 Years |
| Location | 555 N Byron Butler Pkwy, Perry, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891223970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11952 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beth Davalos Counseling Center Llc | 3375978414 | 22 |
| A New Dawn, A New Beginning, Inc | 7618380601 | 2 |
| Entity Name | Beth Davalos Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932760451 PECOS PAC ID: 3375978414 Enrollment ID: O20200117000046 |
| Entity Name | A New Dawn, A New Beginning, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992150916 PECOS PAC ID: 7618380601 Enrollment ID: O20210112002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Marsha Kelly Oxamendi, LCSW 1293 Cordova Cir, Tallahassee, FL 32317-8480 Ph: (850) 556-4797 | Marsha Kelly Oxamendi, LCSW 555 N Byron Butler Pkwy, Perry, FL 32347-2315 Ph: (850) 329-5776 |
Dawna M Haswell, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1706 S Jefferson St, Perry, FL 32348 Phone: 850-329-5776 Fax: 888-974-6195 | |
Mr. Duane James Barnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1215 N Peacock Ave, Perry, FL 32347 Phone: 850-584-8653 Fax: 850-584-8653 | |
Olivia Howard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1706 S Jefferson St, Perry, FL 32348 Phone: 850-329-5776 |